PEPFAR's annual planning process is done either at the country (COP) or regional level (ROP).
PEPFAR's programs are implemented through implementing partners who apply for funding based on PEPFAR's published Requests for Applications.
Since 2010, PEPFAR COPs have grouped implementing partners according to an organizational type. We have retroactively applied these classifications to earlier years in the database as well.
Also called "Strategic Areas", these are general areas of HIV programming. Each program area has several corresponding budget codes.
Specific areas of HIV programming. Budget Codes are the lowest level of spending data available.
Expenditure Program Areas track general areas of PEPFAR expenditure.
Expenditure Sub-Program Areas track more specific PEPFAR expenditures.
Object classes provide highly specific ways that implementing partners are spending PEPFAR funds on programming.
Cross-cutting attributions are areas of PEPFAR programming that contribute across several program areas. They contain limited indicative information related to aspects such as human resources, health infrastructure, or key populations programming. However, they represent only a small proportion of the total funds that PEPFAR allocates through the COP process. Additionally, they have changed significantly over the years. As such, analysis and interpretation of these data should be approached carefully. Learn more
Beneficiary Expenditure data identify how PEPFAR programming is targeted at reaching different populations.
Sub-Beneficiary Expenditure data highlight more specific populations targeted for HIV prevention and treatment interventions.
PEPFAR sets targets using the Monitoring, Evaluation, and Reporting (MER) System - documentation for which can be found on PEPFAR's website at https://www.pepfar.gov/reports/guidance/. As with most data on this website, the targets here have been extracted from the COP documents. Targets are for the fiscal year following each COP year, such that selecting 2016 will access targets for FY2017. This feature is currently experimental and should be used for exploratory purposes only at present.
Years of mechanism: 2010 2011 2012 2014 2015
St Marys Hospital (SMH) is a district hospital and serves a population of approximately 750,000. SMH has been funded by PEPFAR since 2007 and their project period will end on May 31, 2012.The estimated prevalence of people who are HIV-infected is on average 22% with an 80% potentially that are AIDS defined. SMH provides comprehensive HIV/TB care and treatment services and has a good working relationship with Kwazulu-Natal Department of Health (KZN) which in turn provides SMH with Antiretroviral drugs. SMH has managed to put 12 000 patients on ART using PEPFAR funds and 900 of this are paediatric cases.St Marys will continue providing on site mentoring and in service training through their roving teams of specialists. Currently SMH has approximately 3000 patients on ART of which 2500 still have to be transitioned to local clinics. A request has been made to KZN department to fund the remaining 500 patients that reside in the surrounding area.(page 5 and 6)At the end of the project period in May 2012, 1250 patients on ART will be remaining. These patients could not be transitioned as the clinic could only accommodate a certain number per month. The 900 pediatric patients could not be transitioned as the public clinics are not capacitated to manage children on ART. The proposed funding will assits in transitioning adult and Paeds patients on ART
Care services are provided for inpatients and outpatients for the adults.All female adult patients on ART have been screened for cervical cancer .All patients are provide with cotrimoxazole,STI management ,nutriotional supplements and psychosocial support .Patients in Care are registered in an pre-ART register for a cohort follow up on all services.
The primary objective of this programmatic area is to identify TB patients at all entries in the hospital and the community and effective up and down referral between the hospital and the broader community.TB services are integrated with HIV services .A dedicated nurse does TB screening ,testing and provide treatement in the hospital. 100% of TB patients will be screened for HIV.IPT is provided to all HIV infected patients with no history of TB.There has been an improvement in the turn around time and diagnosis of TB with the GeneXpert machine.
Primary objective of this programmatic area is to provide in hospital care to HIV positive paediatric patients.Many patients are admitted with opportunistic treatement and are not yet on ART.All patients are screened for TB and initiated on INH prophylaxis.Targets is 600 patients per annum for CTX and 300 for nutritional assessment and 250 for pallitive treatment . TB screening for all paediatric patients per annum is 800 .
St Marys is committed to the scaling up of MMC services in Ethekwinin Municipality.St Marys has established a fully equiped facility that would contribute to the provincial targets for MMC.In 2010 an offsite fcility was officicially opened and to date 6250 patients have been circumncised with no serious events.St Marys embarked on advertising campaigns as well as linking in with Soul City to increase the demand of MMC.With the amount for the cost extension St Marys will embark on media campaign .To date 50 nurses and 17 doctors have been trained in MMC procedures
The PMTCT goal is to prevent and reduce the transmission of the HIV virus from the mother to the unborn baby,ensure that all pregnant mothers know their HIV status as early as possible and definitely prior to delivery, and that all mothers and HIV exposed babies are fully supported and babies receive all immunizations up to 18 months .PMTCT adheres to the Ministry of Health guidelines and is integrated into the ANC services within the hospital.All mothers are re -tested for HIV at 32 weeks and CD4 counts provided to all those who are HIV positive, screened for TB and initiated on INH propylaxis and commence ART treatment as per national guidelines .On going counselling is proviced to the patient post dellivery.To date the HIV transmission rate is below 3%.
ST Marys hospital has managed to scale-up ART services and to date 12 000 patients were initiated on ART treatment.Currently St Marys has 3000 patients on ART of which 2500 has to be transferred to both municipal and provincial sites.St Marys need to scale down ART services and transition all this patients to the public sector.
Primary objecitve of this progrmmatic area is to provide continued treatment and care to the paediatric patients,initiation of new pediatric patients and technical support to local municipal clinics.St Marys is unable to transition 900 children on treatement to the public sector because nurses afraid to initiate children.St Marys hospital will provide technical support and mentorship through a roving team of doctors ,dieticiian, social workder and nurse mentor.This will assists in capacity building in those PHC facillities.
